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HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Z-13 201 Permit Number: O CFE8 ECEIVED Building Permit Applicatio 13 2019Planning and Development ServicesBuilding and Code Regulation Division County, Permitting 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462,-1553 Fax: (772)462-1578 Commercial Residential ' PERMIT TYPE: FENC E PRO OSED LM.PR 1/RMRN OCA 10 Address: 7 (D cogy Cob l 'F0 iLA Vi-ESE L , Property Tax ID#: Lot No. Site Plan Name: Block No. Project Name:. l2'1\J'A V—C Q G� © ILE© DESS IPTION O ORIC: -TMS I 2 0 W C = Cc�-I -Ew o oq54 o54Awl) c-S4 S 1 0� 40 V Sc. Ft W C Obi e� C AfE a Q N WOQ41=±vr 10 INfOMA ON: Additional work to be performed under this permit—check all that apply: ._Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors . Electric _Plumbing _Sprinklers _Generator _ Roof ;Pitch Total Sq. Ft of Construction: Sq. Ft.of First Floor: Cost of Construction: $ 7200" Utilities: —Sewer _Septic Building Height: O RR L-SSR TN Name rn 1 h.C HGOAO i✓ Name: Address: CQk owbP, Company: City:�o� State: Address: . = Zip Code: 3 y Q'82 Fax: City: State: Phone No. �7 7 2—7-c -{3 13 3 Zip Code:'. Fax: E-Mail: Phone No Fill in fee simple Title Holder on next page (if different E-Mail from the Owner listed above) State or County License If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required. S. CEMENT CONSTRl1CTION LUE LAW I' nRMAT10 . DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: — Not Applicable Name: Name: Address: Address: City: State: City: State: Zips- Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: — Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association.and review your deed.for any restrictions which may apply. In consideration of the granting of this requested permit, I do hereby agree that I will,in all respects;perform the work in accordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review:room additions, accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature of Owner/Less ee/C tractor as Agent for Own Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF Lji COUNTY OF The fo oing.nstrur4apkwas acknowledg before me The forgoing instrument was acknowledged before me this day of 20U by this day of 20_ by W; (11 A&,) �v�a El Name of person making sta—temeht. / Name of person making statement. Personally Known OR Produced Identification ✓ Personally Known OR Produced Identification Type of Identifica ' a Type of Identification Produced Produced ✓� (Signature of Notary P (Signature of Notary Public-State of Florida) Y p`��i KAREN S. NIELSEN Commission No. ;_° �c;State of(SlSalpa-Notary Public Commission No. (Seal) Commission # GG 207484 'My Commission Expires .line 12, REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.